1. Home
  2. Directory
  3. California
  4. Loma Linda
  5. Pediatrics
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AMANDA QUYNH PHAN
NPI 1629773288
Pediatrics in Loma Linda, CA

Active since April 03, 2023
11234 ANDERSON ST, LOMA LINDA, CA 92354(909) 558-4174 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 5, 2026, Apr 3, 2023 (2 updates tracked since 2023).

About Amanda Quynh Phan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA QUYNH PHAN (NPI 1629773288) is an individual pediatrics provider in Loma Linda, California, licensed in California (20A24933) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1629773288
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameAMANDA QUYNH PHAN
Location Address11234 ANDERSON STLoma Linda, CA 92354-2804
Mailing Address11234 Anderson StLoma Linda, CA 92354-2804 · (909) 558-4174
Phone(909) 558-4174
Sole ProprietorNo
Enumeration DateApril 3, 2023
Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1629773288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in CA · 20A24933✔ Licensed in GU · TLL-2026-004
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
11234 ANDERSON ST, Loma Linda, CA 92354
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELYSE LAUREN GURAN
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4015
SAMUEL COOK CHAMBI
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4015
LUIS MIGUEL OLMEDO TEMICH MD
General Practice
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2822
HYUKJE SUNG MD, MA
Preventive Medicine (Occupational Medicine)
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6491
JEFFERSON BRANCH RICHARDS
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4074
JOSEPH UNIS M.D.
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-8311
MARINA LIU M.D.
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4475
JOSEPH M WILKINSON CRNA
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4475

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Phan's NPI number?

The NPI number for Amanda Phan is 1629773288. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Amanda Phan located?

Amanda Phan practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-4174.

What is Amanda Phan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Amanda Phan was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.